Kana chiremba wako akakuudza iwe kana mumwe munhu mumhuri yako kuti une Chronic Myelogenous Leukemia (CML), rudzi rwekenza yeropa, ungave wakanzwa nezvemushonga unonzi Nilotinib. Uyu mushonga unokosha zvikuru, wakasiyana nemamwe. Saka nhasi, tichataura zviri nyore uye zvakajeka nezvezvaunofanira kuziva paunenge uchishandisa mushonga uyu, mashandisirwo awo nemazvo, uye migumisiro yaungatarisira.
Chii chinonzi Nilotinib?
Zvichitaurwa zviri nyore, Nilotinib mushonga chaiwo unomisa kukura kwemasero ekenza. Tinoti mhando idzi dzemishonga "targeted therapy." Kureva kuti, mushonga uyu unoenda zvakananga kunotsvaga mapuroteni ari mumasero ekenza, unoamisa kushanda, uye unodzora kupatsanurwa nekukura kwemasero ekenza.
Mushonga uyu unonyanya kushandiswa kurapa rudzi rweleukemia runonzi Chronic Myelogenous Leukemia (CML) . Unotengeswawo nezita rekuti Tasigna .
Zvinhu zvaunofanira kuudza chiremba wako usati watanga mushonga
Nilotinib mushonga une simba guru. Saka, usati watanga kurapwa uku, chiremba wako anofanira kuva neruzivo rwakakwana rwehutano hwako. Kana uine chimwe chezvirwere zvinotevera, iva nechokwadi chekuzivisa chiremba wako.
| Mamiriro ezvinhu angakunakira iwe |
|---|
| Chirwere cheshuga |
| Zvirwere zvakaita sechirwere chemwoyo, kusagadzikana kwemoyo, kana kuti Long QT syndrome. |
| Chirwere chechiropa |
| Kana uine nhoroondo yechirwere chepancreatitis. |
| Kana uine potassium shoma kana magnesium muropa rako. |
| Kana uine matambudziko ekufamba kweropa mumakumbo. |
| Kana dumbu rakabviswa zvachose nekuvhiyiwa (Total Gastrectomy). |
| Kana uine allergy ne nilotinib, lactose, gelatin, kana chero imwe mishonga kana chikafu. |
| Kana uine pamuviri, uchiedza kubata pamuviri, kana kuti uchiyamwisa. |
Ndingashandisa sei mushonga uyu chaizvo?
Kuti mushonga uyu uwane pundutso yakakwana, zvakakosha kuushandisa nemazvo.
- Tora mushonga usina chinhu: Ichi ndicho chinhu chakakosha. Unofanira kutora mushonga awa imwe chete usati wadya kana maawa maviri mushure mekudya. Kutora mushonga uyu pamwe chete nechikafu kunogona kuchinja huwandu hwemushonga unotorwa nemuviri uye kukonzera migumisiro yakaipa.
- Inwa negirazi remvura: Medza kapusule yese negirazi remvura.
- Usapwanye, kupwanya, kana kutsenga kapusule: Usapwanye, kupwanya, kana kutsenga kapusule.
- Kana uchinetseka nekumedza: Vamwe vanhu vanonetseka nekumedza makapisi. Kana zvakadaro, usazvidya moyo. Vhura kapisi nokungwarira, sanganisa hupfu nechipunu cheapplesauce, wobva wamedza musanganiswa wacho ipapo ipapo . Usauchengete kuti uzoshandisa gare gare.
- Dzivisa girepufurayiti: Usanwe muto wegirepufurayiti kana kudya girepufurayiti chero chikonzero chipi zvacho. Izvi zvinogona kuchinja mashandiro emushonga zvine njodzi.
- Nguva yekutora pamwe chete nemimwe mishonga: Kana uri kutora mushonga wechirwere chegastritis, usatore mishonga yakadai seantacids (semuenzaniso, Digene) mukati memaawa maviri usati watora kapisi iyi kana kuti watora. Tora mishonga yakaita seH2-blockers (semuenzaniso, Famotidine) maawa gumi usati watora mushonga uyu kana maawa maviri watora. Bvunza chiremba wako kuti akusimbise izvi.
- Inwa mushonga nenguva: Edza kutora mushonga wako panguva imwe chete zuva nezuva. Usarega kutora mushonga wako usina kurayirwa nachiremba wako.
Chii chaunofanira kuita kana ukarasikirwa nedosi remushonga?
Kana ukarasikirwa nedosi, usambofa wakawedzera kaviri dosi rinotevera kuti udzorere. Izvozvo zvinogona kuva nengozi. Kanganwa nezvedosi rawakarasikirwa naro wongotora dosi rawakarairwa panguva inotevera.
Ko kana ndikatora mushonga wakawandisa?
Kana ukatora mushonga unopfuura wakatarwa netsaona, idambudziko rekukurumidza. Fonera National Poisons Information Centre paColombo National Hospital nekukasika , kana kuenda kuEmergency Treatment Unit (ETU) yechipatara chiri pedyo.
Mimwe mishonga inogona kupindirana neNilotinib
Nilotinib mushonga une mukana wakakura wekuti ushande pamwe chete nemimwe mishonga. Saka, zvakakosha kuudza chiremba wako nezvemishonga yese yauri kutora.
| Usatore Nilotinib pamwe chete nemushonga uyu. |
|---|
| Cisapride, Dronedarone, Pimozide, Thioridazine, Ziprasidone (mishonga inokanganisa kurova kwemoyo) |
| Flibanserin, Lomitapide, Saquinavir |
| Fluconazole, Posaconazole (mushonga wekudzivirira fungus) |
| Kana uri kushandisa zvinhu izvi, zivisa chiremba wako. |
|---|
| Mishonga inorwisa utachiona yeHIV/AIDS |
| Mishonga inorwisa mabhakitiriya yakaita seClarithromycin neErythromycin |
| Mishonga yeBP, chirwere chemwoyo, uye chirwere chepfungwa |
| Mimwe mishonga inouraya fungus yakaita seKetoconazole, Itraconazole |
| Mishonga yekurapa gastritis (Antacids, Cimetidine, Omeprazole) |
| Mishonga inobvisa ropa yakaita seWarfarin |
| Mishonga yemishonga yakaita seSt. John's Wort |
Hapana kana chimwe chezvizvi chakazara. Saka, zvakakosha kuti muve vakachengeteka kuudza chiremba wenyu nezvemishonga yese, mavhitamini, mishonga yemishonga, uye mishonga yechivanhu yamuri kutora.
Ndezvipi zvingakonzera migumisiro yekutora mushonga?
Kufanana nemishonga chero ipi zvayo, Nilotinib inogona kukonzera migumisiro yakaipa. Mimwe yacho yakakomba, nepo mimwe inowanzoitika. Chinhu chakakosha kuziva izvi uye kutora matanho nekukurumidza kana zvichidikanwa.
| Mhedzisiro yedivi | Zvinhu zvekutarisira |
|---|---|
| Migumisiro inoda kurapwa nekukurumidza | |
| Kusawirirana kwemuviri | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo kana rurimi. |
| Kubuda ropa | Tsvina nhema kana kuti ine ropa, kurutsa kunoratidzika kunge kofi yakakuyiwa, mavanga matsvuku paganda, kubuda ropa kusingawanzoitiki mumhino kana mumatadza. |
| Kuchinja kwekurova kwemoyo | Kurwadziwa pachipfuva, dzungu, kurova kwemoyo nekukurumidza kana kusina kurongeka, kufenda. |
| Kukuvara kwechiropa | Weti yero yakasviba kana yebrown, maziso kana ganda richitsvuka, kurwadziwa mudumbu rekumusoro kurudyi, kurasikirwa nechido chekudya. |
| Chipembenene | Marwadzo emudumbu (kunyanya anopenya kumusana), marwadzo anowedzera mushure mekudya, fivha, kuda kurutsa, kurutsa. |
| Kuunganidzwa kwemvura mumuviri (Edema) | Kuwedzera uremu kamwe kamwe, kuzvimba kwezvitsitsinho, makumbo, kuoma kufema. |
| Migumisiro inofanira kutaurwa kuna chiremba kana ikaramba iripo | |
| Matambudziko akajairika | Musoro, kuda kurutsa, kurutsa, manyoka, kuzvimba. |
Chenjerera zvikuru panguva yekuzvitakura uye kuyamwisa
Iyi ipfungwa inokosha zvikuru.
- Usambofa wava nepamuviri paunenge uchitora Nilotinib.
- Dzivisa kubata pamuviri kwemazuva gumi nemana mushure mekurega kushandisa mushonga.
- Musayamwisa mwana wenyu muchitora mushonga uyu uye kwemazuva gumi nemana mushure mekurega.
Mushonga uyu unogona kukonzera kukuvara kukuru kumwana asati aberekwa, saka taura nachiremba wako nezvazvo pachena.
Mharidzo Yekuenda Nayo Kumba
- Nguva dzose tora Nilotinib usina chinhu mudumbu, awa imwe usati wadya kana maawa maviri mushure mekudya.
- Usambofa wadya grapefruit kana kunwa muto wayo.
- Iva nechokwadi chekuudza chiremba wako nezvemimwe mishonga yese, mavhitamini, uye mishonga yemiti yauri kutora.
- Kana ukasangana nematambudziko akakomba akadai sekurwadziwa muchipfuva, kufema zvakaoma, kana kubuda ropa zvisina kujairika, tsvaga rubatsiro rwechiremba nekukasika.
- Dzivisai kubata pamuviri uye kuyamwisa zvachose pamunenge muchitora mushonga uye kwemazuva gumi nemana mushure mekurega.
- Usapotsa nguva yako yekusangana nachiremba kukiriniki. Ongorora ropa rako sezvawakaronga.
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